Healthcare Provider Details

I. General information

NPI: 1285458653
Provider Name (Legal Business Name): ASHLEY CARING HEART LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

518 S 19TH ST
RICHMOND CA
94804-3804
US

IV. Provider business mailing address

518 S 19TH ST
RICHMOND CA
94804-3804
US

V. Phone/Fax

Practice location:
  • Phone: 510-660-7135
  • Fax:
Mailing address:
  • Phone: 510-660-7135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA MELENDEZ
Title or Position: MANAGER
Credential:
Phone: 510-367-5179